Provider Demographics
NPI:1134417728
Name:MILLS, DONNA (FNP-BC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SCHATULGA RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-3198
Mailing Address - Country:US
Mailing Address - Phone:706-568-5000
Mailing Address - Fax:706-569-3189
Practice Address - Street 1:3000 SCHATULGA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-3198
Practice Address - Country:US
Practice Address - Phone:706-568-5000
Practice Address - Fax:706-569-3189
Is Sole Proprietor?:No
Enumeration Date:2011-07-16
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP273600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006700100Medicaid